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When they are not removed by the kidneys, uremic toxins interact negatively with biologic functions

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However, erythrocyte stability is reported to be improved by levocarnitine therapy, and this treatment would be associated with improved survival of erythrocytes through the following mechanism: levocarnitine regulates the erythrocyte membrane lipid complex, modifies the fatty acid metabolism, enhances the Na-K pump activity of erythrocytes, reduces membrane rigidity, and decreases erythrocyte calcium levels [69,71,72,73,74]

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